Based on public Medicaid payment data.
Stanley A Boucree
Medicaid Provider in Silver Spring, MD
Type
Individual Provider
Address
8555 16Th St
Silver Spring, MD 209102816
Phone
3015855900
NPI
1063532059
Procedures
2
Total Claims
1.1K
Patients Served
616
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Tooth Extraction | $133.46 | 1,056 | 583 |
| Dental Cleaning & Exam | $40.10 | 34 | 33 |
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